TEST TRANSMITTAL FORM
Instructor Name:
Class Name:
Section Number:
Please tell us the name(s) of the student(s) expected to take this exam:
What kind of exam are you sending?
Canvas
Paper/Pencil
Other
Exam Window Dates:
Start Date: End Date :
MM/DD/YY MM/DD/YY
Exam Type & Time Limit:
Regular Exam
Final Exam
Hour Minutes
Materials Allowed:
Scantron Blue/Green Book Note Card Formula Sheet
Calculator: Basic
Scientific
Graphing
Other Materials Allowed:
‘’
Special Instructions (List Exam Password Here):
How do you want your exam materials delivered?
Pick up in-person Scan and email Send to mail station No materials to collect
list MS# in box to professor
Please submit this Test Transmittal Form to proctoringcenter@miracosta.edu
MS#